For the New Patient

First Visit

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, surgery can be done the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.

Please assist us by providing the following information at the time of your consultation:

Your referral slip and any X-rays if applicable.

A list of medications you are presently taking.

If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.

IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.

Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.)

X-Rays

If your dentist or physician has taken x-rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.

Appointments

Mission Hills Endodontics is open Monday – Friday from 8 am until 5 pm. We will schedule your appointment as promptly as possible. If you have pain or an emergency situation, every attempt will be made to see you that day.

We try our best to stay on schedule to minimize your waiting. Due to the fact that practice provides surgical services, various circumstances may lengthen the time allocated for a procedure. Emergency cases can also arise and cause delays. We appreciate your understanding and patience.

We hope that the information provided here answers many of your questions about endodontic treatment. If you would like additional information, please don’t hesitate to contact us at. We will respond promptly.

Before Treatment

This procedure will be performed using local anesthesia. There are usually no restrictions after the procedure concerning driving or returning to work. A doctor is available for consultation at all times should a problem arise after your treatment.

Continue all medications for blood pressure, diabetes, thyroid problems and any other conditions as recommended by your physician. If there is a question, please call our office prior to your appointment.

Please eat a full breakfast or lunch as applicable.

If you have been advised by your physician or dentist to use antibiotic premedication because of mitral valve prolapse (MVP), heart murmur, hip, knee, cardiac or other prosthesis, or if you have rheumatic heart disease, please make sure you are on the appropriate antibiotic on the day of your appointment. If there is a question, please call our office prior to your appointment.

Financial Policy

For your convenience we accept Visa, MasterCard, American Express, Discover and CareCredit. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance. If you have questions regarding your account, please contact us at our Fremont (510) 794-6600, San Ramon (925) 829-5711, or Castro Valley (510) 581-6600 offices. Many times, a simple telephone call will clear any misunderstandings.

Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.

We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated. We can make arrangements for a monthly payment plan but that must be done prior to the actual procedure.

Insurance Information

At Mission Hills Endodontics we make every effort to provide you with the finest surgical care and the most convenient financial options. To accomplish this we work hand in hand with you to maximize your insurance reimbursement for covered procedures.

We gladly bill all indemnity insurances and accept the following dental plans:

DELTA

DELTA PMI

AETNA PPO

AETNA DMO

METLIFE PPO

SMILE SAVER

PACIFIC UNION DENTAL

CIGNA PPO

GUARDIAN

UNITED CONCORDIA

If you have any problems or questions, please ask our staff.

They are well informed and up-to-date. They can be reached by phone at our Fremont (510) 794-6600, San Ramon (925) 829-5711, or Castro Valley (510) 581-6600 offices. Please call if you have any questions or concerns regarding your initial visit. Please bring your insurance information with you to the consultation so that we can expedite reimbursement.

HIPAA Privacy Policy

This form presents the information that federal law requires us to give our patients regarding our privacy practices.

Please Note:

Our online forms use the Adobe Acrobat 5 Plugin to allow patients the convenience of completing their health history and registration forms from home or work. Please download the free plugin from Adobe’s web site if it is not already installed on your system. It is important that you have at least version 5 of the plugin, in order to successfully use our forms.